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The flail elbow: Every surgeon's nightmare.

Sachin Kumar¹, Arya Mishra¹, Anand Arya²

¹Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK.

Journal of Clinical Orthopaedics and Trauma

|June 8, 2021

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A flail elbow joint, characterized by excessive mobility and functional loss, stems from structural damage or neuromuscular issues. Management strategies vary by cause, addressing infection and instability alongside joint problems.

Area of Science:

Orthopedics
Reconstructive Surgery
Traumatology

Background:

A flail elbow joint presents with abnormal mobility, leading to functional impairment.
Causes include structural damage (bone, ligament) or neuromuscular deficits.
Etiologies encompass trauma, failed joint replacement, infection, and inflammatory arthritis.

Purpose of the Study:

To review diverse clinical scenarios of flail elbow.
To focus on commonly encountered practice situations.
To discuss management strategies based on etiology.

Main Methods:

Literature review of flail elbow conditions.
Analysis of treatment approaches for various etiologies.
Consideration of non-surgical and surgical interventions.

Keywords:

Elbow instability Flail elbow Inflammatory arthropathy Total elbow arthroplasty Trauma

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Main Results:

Management is etiology-dependent, requiring attention to infection and instability.
Non-surgical options include orthotics.
Surgical options range from fixation and repair to arthroplasty, with reconstruction being challenging in cases of failed arthroplasty or infection.

Conclusions:

Flail elbow management requires a tailored approach based on the underlying cause.
Addressing concurrent issues like infection and instability is crucial.
Complex cases, especially post-arthroplasty failure or infection, present significant reconstructive challenges.